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1447828025
JENNIFER LOPEZ
BLUFFTON, SC
NPI
1447828025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: SC RBT-20-130990)
Enumeration Date
2021-06-11
Last Update Date
2021-06-14
Business Address
JENNIFER LOPEZ
119 PALMETTO WAY STE B
BLUFFTON, SC 29910-9629
Phone number: 800-832-9419
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Mailing Address
JENNIFER LOPEZ
3121 N OAK STREET EXT
VALDOSTA, GA 31602-1099
Phone number: 800-832-9419
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